| NPI | 1083854681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00544000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 016609) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2015-03-31 |