| NPI | 1023385994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 1422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NH P-0507) |
| 235Z00000X Speech-Language Pathologist (Licence: ME ST2137) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2019-01-09 |