| NPI | 1679931042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00821700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SLO12562) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2020-11-03 |