NPI | 1437751260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014786) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01020900) |
235Z00000X Speech-Language Pathologist, (Licence: NY 29368) | |
235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001801) | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |