| NPI | 1073851937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10042) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3290) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2024-01-09 |