NPI | 1447981386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033191-01) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-05-20 |