NPI | 1003564402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00999700) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NJ L-314980) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-03-15 |
Last Update Date | 2025-01-21 |