NPI | 1346495702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08920) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58-017688) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2021-10-27 |