| NPI | 1063643310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7677) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01018) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |