NPI | 1780103721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029025-01) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-09-11 |
Last Update Date | 2022-07-21 |