NPI | 1942713474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19299) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028079-01) |
235Z00000X Speech-Language Pathologist, (Licence: FL sz8245) | |
Enumeration Date | 2017-11-06 |
Last Update Date | 2021-07-29 |