| NPI | 1871604363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004673L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS00287200) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-21 |