| NPI | 1043943483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017075) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3854) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2023-07-13 |