| NPI | 1457728263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00995400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OK 14080768) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-10-30 |