| NPI | 1124281183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: MA 7456)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: RI SP01331)  | 
| Enumeration Date | 2008-07-09 | 
| Last Update Date | 2018-06-28 |