| NPI | 1073916011 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00772400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023857) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2016-02-29 |