| NPI | 1891094116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 001461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00191) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |