NPI | 1568875961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0001692) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00677600) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2018-12-12 |