NPI | 1780050740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 02946501) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 844755) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2020-09-28 |