NPI | 1124592126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01303300) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027463-1) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2025-01-23 |