| NPI | 1891124038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00784500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0582) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2015-04-13 |