| NPI | 1740581818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012224-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 00276986) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |