| NPI | 1598511727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01520) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP77324) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |