NPI | 1215266473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00395500) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 3955) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2022-08-08 |