| NPI | 1225557317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 1440134141) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-2970) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-09-25 |