NPI | 1679962864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 02161988) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2019-06-19 |