| NPI | 1114398674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9456) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2477) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |