| NPI | 1740534395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00735800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL011125) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2014-08-26 |