| NPI | 1902025257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS3902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 007579-1) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |