| NPI | 1922423904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00809800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010784) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2015-05-26 |