NPI | 1992534317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030321) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01231100) |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-01 |