| NPI | 1215267273 |
|---|---|
| Former Name | SARA MARIE REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009801) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2019-11-07 |