NPI | 1902337330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00670800) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7812) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-08-04 |