| NPI | 1467980268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028158-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00987600) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-10-28 |