| NPI | 1801227624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9367) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00269-P) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2017-04-28 |