| NPI | 1316401540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00462-P) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019000889) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-01-12 |