| NPI | 1083191480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77952) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2851) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2021-05-02 |