| NPI | 1073036323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015021-1) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |