| NPI | 1033460746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0649) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7656) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME sp1066) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |