| NPI | 1093144867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9095-SL) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2020-07-30 |