NPI | 1598374563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31723) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 035552) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2025-07-01 |