| NPI | 1891511564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100611) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2026-01-23 |