| NPI | 1013683127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: RI SP00160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 2745) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |