NPI | 1578838884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021642-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18802) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2021-11-23 |