| NPI | 1700428620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01055800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014266) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2025-05-29 |