NPI | 1235407941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0201061-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 02016061-1) |
235Z00000X Speech-Language Pathologist, (Licence: NY 020161-1) | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2022-03-28 |