| NPI | 1659773687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023408) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00730900) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-11-21 |