NPI | 1083276422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01110600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016049) |
235Z00000X Speech-Language Pathologist, (Licence: GA PCET002911) | |
Enumeration Date | 2019-07-06 |
Last Update Date | 2022-03-25 |