NPI | 1578015327 |
---|---|
Former Name | SHIRA MIRIAM STOKAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14991) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00758800) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2016-10-27 |