| NPI | 1013578277 |
|---|---|
| Former Name | REBECCA BEVACQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030037) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-08-27 |