NPI | 1639459324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15695) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14117652) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2022-03-14 |