NPI | 1417523978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034041-01) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010010) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2024-02-15 |