NPI | 1942930904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031850) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 6924) |
Enumeration Date | 2022-06-13 |
Last Update Date | 2022-06-13 |