| NPI | 1366758781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00642300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020099-1) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2015-07-17 |