| NPI | 1508521402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01306900) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2025-02-13 |