| NPI | 1053790733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026930) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2026-05-21 |