| NPI | 1457659203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00034200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006301L) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |