NPI | 1366712697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011879-01) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-10247) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2022-07-15 |