NPI | 1467022368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP78160) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 031568) |
235Z00000X Speech-Language Pathologist, (Licence: FL 20232) | |
Enumeration Date | 2021-07-01 |
Last Update Date | 2025-08-08 |