| NPI | 1346504404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00366800) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-07-3858) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |