| NPI | 1104604594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS01159400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ME SP4010) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |