| NPI | 1558804013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 025484-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00860700) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |