| NPI | 1982954434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-8552-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00689200) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |