NPI | 1306575089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00928600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-06-07 |