| NPI | 1750717229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00551100) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22187) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2018-08-13 |