| NPI | 1760521736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 3364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00999) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 7463) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-11-14 |