| NPI | 1962634279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI Dept Ed: 51809) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI dept health: SP00974) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |