| NPI | 1871302505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00787200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014116-01) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |