NPI | 1336305556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018005-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11416) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2025-01-30 |