| NPI | 1003386111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2840) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 005665) |
| 235Z00000X Speech-Language Pathologist, (Licence: 14103474) | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2023-03-02 |