| NPI | 1609029990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 005941-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00601100) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL010864) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-04-17 |