NPI | 1780745570 |
---|---|
Other Name | MEREDITH SARAH BAZAAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010563-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00374600) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-10-15 |