NPI | 1861626517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013134) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009932) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00601800) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2017-01-13 |