NPI | 1578706339 |
---|---|
Former Name | HEATHER BERTHIAUME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00934) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6920) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2009-04-09 |