NPI | 1174241962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01163200) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23019) |
Enumeration Date | 2022-08-17 |
Last Update Date | 2024-10-14 |