| NPI | 1134105695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3370) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-10-22 |