NPI | 1447796594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032109) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2006) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2022-08-01 |