| NPI | 1205071610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 01142462) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00968) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |