| NPI | 1083276422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS01110600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL016049) |
| 235Z00000X Speech-Language Pathologist (Licence: GA PCET002911) | |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2022-03-25 |