NPI | 1760249759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033896) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 18.007397) |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-03-05 |