NPI | 1346695517 |
---|---|
Former Name | SAMANTHA MORGAN NACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024644) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00833300) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2019-10-18 |