| NPI | 1710539309 |
|---|---|
| Former Name | SAMANTHA JUNE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 030080) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-08-28 |