NPI | 1548780257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL013435) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00693300) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2021-10-04 |