NPI | 1730599424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025422) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17762) |
235Z00000X Speech-Language Pathologist, (Licence: CA SP29967) | |
Enumeration Date | 2014-05-02 |
Last Update Date | 2024-04-04 |