NPI | 1851732473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00332600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010455-1) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |