NPI | 1811250996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022518) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2012-06-22 |
Last Update Date | 2021-04-11 |