NPI | 1457700353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01227600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21776) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2024-06-11 |