| NPI | 1174831812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00666300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019805-1) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2015-05-28 |