| NPI | 1588289219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01646) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100960) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-04-10 |