| NPI | 1649647371 |
|---|---|
| Former Name | CARLY SHAINA CANTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00977700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014216) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025710) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP11872) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2019-08-08 |