| NPI | 1972315901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00974000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 14243531) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |