| NPI | 1265893150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 961770) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-05-19 |