NPI | 1164819173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00639900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL011268) |
235Z00000X Speech-Language Pathologist (Licence: NY 020222-1) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-27 |