| NPI | 1235466749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP-1944) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2013-10-17 |