| NPI | 1912323759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00595300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018894-1) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |