| NPI | 1215168620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 006520) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01588) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2025-05-20 |