| NPI | 1124545132 |
|---|---|
| Former Name | REBECCA LEE MALBOEUF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: 14112321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: RI SP01284) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |