NPI | 1265160618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025038) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9680) |
Enumeration Date | 2022-08-12 |
Last Update Date | 2024-07-15 |