NPI | 1053815449 |
---|---|
Former Name | JILL TEITELBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029869) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015063) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-01-02 |