| NPI | 1598246720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00629400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58025107) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |