| NPI | 1427666536 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01423) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77410) | 
| Enumeration Date | 2020-07-15 | 
| Last Update Date | 2020-07-15 |