NPI | 1932800604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP31597) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01030500) |
235Z00000X Speech-Language Pathologist, (Licence: NJ O1-0012153) | |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-03-10 |