| NPI | 1083029953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2416) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2339) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-12-17 |