NPI | 1609168178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013565) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 480559101) |
Enumeration Date | 2011-05-03 |
Last Update Date | 2023-08-27 |