NPI | 1790119303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20172) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 8242740) |
Enumeration Date | 2013-08-30 |
Last Update Date | 2023-08-04 |