| NPI | 1235353855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS00404200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011115) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-10-08 |