| NPI | 1861925091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12290) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00862300) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL013379) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-10-08 |