| NPI | 1194038414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020207) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-10-22 |