| NPI | 1922385145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00688300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009793) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2023-09-22 |