NPI | 1295393429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14090) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028792) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2023-12-28 |