NPI | 1033734116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01257800) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030938) |
Enumeration Date | 2020-06-14 |
Last Update Date | 2024-05-08 |