NPI | 1821543877 |
---|---|
Former Name | KRISTEN MARGARET SHUBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00866700) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2017-11-22 |