| NPI | 1902211972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00760200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004723) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2015-01-31 |