| NPI | 1821749623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 41ys00607300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00607300) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |