NPI | 1669722690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 14064894) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022912-1) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2023-11-14 |