| NPI | 1275776411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00655390) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013168) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2016-02-24 |