| NPI | 1578755195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8433) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00521) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2014-12-01 |