| NPI | 1942722863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: NY 029533)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NJ 41YS01044500)  | 
| Enumeration Date | 2017-07-12 | 
| Last Update Date | 2023-12-21 |