NPI | 1699142141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026513-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-08-31 |
Last Update Date | 2022-06-02 |