| NPI | 1598259780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01186900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01645L) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-06-27 |