NPI | 1629221650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 007606) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007606-1) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2023-11-17 |