NPI | 1285103887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012672) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00930700) |
235Z00000X Speech-Language Pathologist, (Licence: MD 08713) | |
Enumeration Date | 2018-11-13 |
Last Update Date | 2020-08-06 |