| NPI | 1023398484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00647700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020885-1) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-03-30 |