| NPI | 1700047529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00561700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 012089) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2011-02-10 |