NPI | 1609593417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA13895) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 034204) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-06-12 |