NPI | 1447864053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031834) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9741) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2022-05-31 |