NPI | 1760709372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022787-01) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4684) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2021-08-03 |