NPI | 1043457351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018809-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18818) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2021-08-09 |