NPI | 1619314812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00756300) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022630) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2015-07-23 |