| NPI | 1962144022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 41ys01134400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-3608) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2022-04-29 |