| NPI | 1003233511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SPO1212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9132) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |