| NPI | 1821177551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 17093) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00839) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-03-06 |