NPI | 1982076212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01358) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 31905) |
235Z00000X Speech-Language Pathologist, (Licence: MA 9637) | |
Enumeration Date | 2015-10-26 |
Last Update Date | 2022-04-12 |