| NPI | 1649549114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016105-1) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2018-07-02 |