NPI | 1124463930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00750900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-2221) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL011774) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2022-07-05 |