NPI | 1508509704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032985) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY P116470) |
Enumeration Date | 2022-04-15 |
Last Update Date | 2024-10-21 |