| NPI | 1376079012 |
|---|---|
| Former Name | ANTONIA SKOUFIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026975) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-09-16 |