NPI | 1679305940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 035714) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02874L) |
Enumeration Date | 2024-08-15 |
Last Update Date | 2025-07-25 |