| NPI | 1336784024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01319) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2020-07-07 |