| NPI | 1124253729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS 01352) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7540-SL) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |