| NPI | 1780987545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10010) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00650600) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 022520) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2013-02-05 |