| NPI | 1053769976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025729-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00830500) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 947199) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |