| NPI | 1063846301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 2569480) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 901726) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-23 |