| NPI | 1578338851 |
|---|---|
| Other Name | NICOLE ALEXANDRA FAHIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-4309) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-09-14 |