NPI | 1346736766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034047) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2815) |
235Z00000X Speech-Language Pathologist, (Licence: CT 006527) | |
Enumeration Date | 2018-07-09 |
Last Update Date | 2025-03-30 |