| NPI | 1134456973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP 6758 SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00788) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2014-06-16 |