| NPI | 1629751763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01883) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033301) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-05-10 |