| NPI | 1972347508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01892) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004939) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2026-06-02 |