| NPI | 1619116126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00168700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003773L) |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2013-05-09 |