NPI | 1245853951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030814-01) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-05-28 |
Last Update Date | 2021-07-19 |