NPI | 1528506029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15863) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00862500) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2018-03-17 |