NPI | 1699027938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00525900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 7168395) |
Enumeration Date | 2012-10-10 |
Last Update Date | 2012-10-10 |