NPI | 1356626626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00956900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2011-10-18 |
Last Update Date | 2021-11-16 |