| NPI | 1629359641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 235Z000000X) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00165400) |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2011-09-03 |