NPI | 1699496943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029714) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 6188) |
Enumeration Date | 2022-09-06 |
Last Update Date | 2022-09-06 |