| NPI | 1700209806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00920500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011414) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-06-28 |