| NPI | 1659820314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01119200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30050) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 4533) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2022-05-05 |