| NPI | 1619587870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01115000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016108) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-01-31 |