| NPI | 1588375646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 34970) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS01179800) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-04-06 |