NPI | 1033737028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01300900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015388) |
Enumeration Date | 2020-07-07 |
Last Update Date | 2024-12-11 |