NPI | 1518497619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 027657) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-07-21 |