NPI | 1457582116 |
---|---|
Former Name | JORDAN LESLIE GINSBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007362) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4809) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2010-10-21 |