| NPI | 1487741393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00726000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005883) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-01-10 |