| NPI | 1700135175 |
|---|---|
| Former Name | MARY JOANNE COSENTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00515) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 002228) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |