| NPI | 1114064771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YB00005600) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25 MG00101000) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-01-16 |