| NPI | 1679176440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00516600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12375) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 117453) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |