| NPI | 1437410743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 8551) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: RI SP01139) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2019-03-16 |