NPI | 1346505427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021497-01) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 600847121) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2024-12-02 |