NPI | 1114666393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36896) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033040) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2024-07-09 |