| NPI | 1124375332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE DAVIS Owner 617-823-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 2214) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |