NPI | 1982855243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 3378) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 3728-1) |
235Z00000X Speech-Language Pathologist, (Licence: FL Sa10926) | |
Enumeration Date | 2008-10-06 |
Last Update Date | 2024-02-01 |