| NPI | 1356429336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16480) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00309) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-08-13 |