| NPI | 1265006514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01033900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 13863677-4102) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-08-06 |