NPI | 1366678435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003323) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016512-1) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2025-01-13 |