| NPI | 1548874324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00688900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 021057-1) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |