| NPI | 1962238204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01325700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 034729) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2026-01-27 |