NPI | 1033420872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16346) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 12151531) |
Enumeration Date | 2010-06-26 |
Last Update Date | 2022-08-25 |