| NPI | 1083054183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GASPARO Direct Owner 732-866-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00407700) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |