| NPI | 1164677696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3863) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2023-05-26 |