| NPI | 1952650723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00679800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021562-1) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2025-09-11 |