| NPI | 1154556728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00606600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009345) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2011-05-19 |