NPI | 1992301675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 14437725) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2020-12-08 |
Last Update Date | 2023-06-26 |