NPI | 1619935087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012482-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012482-01) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2023-07-05 |