| NPI | 1548789514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00393400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006330L) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |