| NPI | 1053558791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00801) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5229) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2014-09-12 |