| NPI | 1992987986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00580800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 12079209) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2013-11-18 |