NPI | 1598169468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00406000) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12591) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2023-12-29 |