NPI | 1386857936 |
---|---|
Former Name | TERRY J. MOLZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6035) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00185400) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-06-03 |