| NPI | 1679796338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-1320) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00545500) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |