NPI | 1396499091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01193800) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2025-01-02 |