| NPI | 1083069645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00359300) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YS00081400) |
| 231H00000X Audiologist (Licence: NY 000968-1) | |
| 235Z00000X Speech-Language Pathologist (Licence: NY 4535) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |