| NPI | 1023154473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ YS00867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL005294L) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |