NPI | 1356776835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07265) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 742361) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2024-10-02 |