NPI | 1316035462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00164900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002933L) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |