NPI | 1831744622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01029000) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3215) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2021-12-16 |