| NPI | 1386939957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00632500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021029) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2019-01-04 |