| NPI | 1154678555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024752) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 719140) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-2367) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2015-11-21 |