| NPI | 1912421330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00485500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008382-1) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |