| NPI | 1770298259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01945) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78713-SP-SL) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2025-05-08 |