NPI | 1629370473 |
---|---|
Former Name | DEBRA GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00718900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 1348438) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2022-07-21 |