| NPI | 1104592351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS0116200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117974) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-04-10 |