| NPI | 1194913095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8481) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00995) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2012-02-29 |