| NPI | 1730564550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00362200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22035) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-11-09 |