NPI | 1922519248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2384) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027069) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2020-04-01 |