| NPI | 1770828964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41y200641200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021308) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |