| NPI | 1396471611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033451-01) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01214400) | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-10-23 |