| NPI | 1073083705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030490-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3179) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-08-18 |