| 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 |