NPI | 1710498415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 028186) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028186) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-10-20 |
Last Update Date | 2021-06-02 |