| NPI | 1619314812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00756300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022630) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2015-07-23 |