| NPI | 1396202248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01435) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP77638) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-11-30 |