| NPI | 1609911031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 2851) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI 0500) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 003881) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-03-20 |