NPI | 1992489744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 035508) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 7404) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2025-07-29 |