| NPI | 1013163419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME 931) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |