| NPI | 1912659871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78088) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2024-01-18 |