| NPI | 1831515899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 1372) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 006520-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00283000) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |