| NPI | 1154703114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01373) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76622) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-03-05 |