| NPI | 1336402627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00307700) |
| 235Z00000X Speech-Language Pathologist, (Licence: SP.03133) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2025-12-18 |