| NPI | 1023320447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2028) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2086) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-10-13 |