| NPI | 1396919965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00547500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005241L) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2013-08-30 |