| NPI | 1619434305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01106800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029522) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2025-09-10 |