| NPI | 1316263171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00847600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020662) |
| 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001514) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL012865) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-09-14 |