NPI | 1265785612 |
---|---|
Former Name | STEPHANIE SOBASZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022540-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2012-10-23 |
Last Update Date | 2021-10-04 |