NPI | 1992205132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015745) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 14104354) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2023-07-27 |