| NPI | 1417101064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01181900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018657) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2025-04-01 |