| NPI | 1538552187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 136661) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |