| NPI | 1407564529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41S01209600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3963) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-02-05 |