NPI | 1083983787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 0012114) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020225) |
Enumeration Date | 2011-12-26 |
Last Update Date | 2024-03-15 |