| NPI | 1750058863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI 01782) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78201) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-09-04 |