| NPI | 1477820611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00588300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018746-1) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2012-03-27 |