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 |