| NPI | 1083923221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: PA SL010148)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NJ 41YS00628000)  | 
| Enumeration Date | 2010-10-06 | 
| Last Update Date | 2022-11-04 |