| NPI | 1841315025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00800) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |