| NPI | 1477928364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00765300) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2017-04-18 |