NPI | 1881815835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003435) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00831) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2008-05-15 |