| NPI | 1699550277 |
|---|---|
| Other Name | NICOLE JAQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01259500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3978) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2026-02-09 |