NPI | 1942749023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19387) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027467) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2021-08-25 |