NPI | 1255859088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00981900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001725) | |
Enumeration Date | 2017-08-31 |
Last Update Date | 2019-09-04 |