| NPI | 1366872541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7355) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |