| NPI | 1427568039 |
|---|---|
| Former Name | EMILY SARAH MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028170) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028170-1) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-01-18 |