| NPI | 1255860102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01112900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016129) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6109) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-03-04 |