NPI | 1790919264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00368300) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 00496) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2009-05-12 |