| NPI | 1003288911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP752) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13655) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |