NPI | 1528292687 |
---|---|
Former Name | DEBRA ELYCE FIRESTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00860500) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016121-1) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2024-03-07 |