NPI | 1427408111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00734500) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 873002) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 12136383) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |