NPI | 1033579990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08534) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025924-1) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL012849) | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2021-04-07 |