| NPI | 1164819173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00639900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL011268) |
| 235Z00000X Speech-Language Pathologist (Licence: NY 020222-1) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-27 |