| NPI | 1093335275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01059800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015509) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2021-01-28 |