| NPI | 1871713297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 3875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00530) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 003635) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |