| NPI | 1336409937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00565300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009571) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |