NPI | 1467851311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00808100) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2014-08-16 |
Last Update Date | 2017-02-28 |