| NPI | 1932316387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00530700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008526) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-10-17 |