| NPI | 1689110397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: RI SP01510) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 76696-SP-SL) |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-12-16 |