| NPI | 1336355866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-1417) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-07-01 |