| NPI | 1487965661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI sp01066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7936) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2012-09-12 |