| NPI | 1730366717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0126489) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ R60814246556765) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2017-04-07 |