| NPI | 1194072850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2175) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH P-0514) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-15 |