NPI | 1144662453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00504) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013398) |
Enumeration Date | 2013-07-28 |
Last Update Date | 2013-07-28 |