NPI | 1467710475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00762200) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 794081) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2022-06-23 |