| NPI | 1104008176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 3465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI sp00450) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-03-10 |