| NPI | 1821568080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00997800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76920-SP-SL) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-06-20 |