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 |