NPI | 1598259780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01186900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01645L) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2023-06-27 |