| NPI | 1598903791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YSOO481500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008523) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2016-08-04 |