NPI | 1265885628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 031002) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-07-20 |
Last Update Date | 2021-09-16 |