NPI | 1992010631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00857400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102937) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2022-07-04 |