| NPI | 1750756250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00873500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013759) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2018-10-06 |