NPI | 1376168690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00855800) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5872) |
235Z00000X Speech-Language Pathologist, (Licence: CA 28359) | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2024-05-07 |