| NPI | 1083903686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01148) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP4476) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP78395) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 3551) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 31078) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2026-04-06 |