| NPI | 1720672157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP7367) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-08-14 |