NPI | 1275776411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00655390) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013168) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2016-02-24 |