| NPI | 1811190366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00643) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6537) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |