| NPI | 1528320801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41SY00686700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11014) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2014-09-02 |