| NPI | 1255531463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST1764) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-10-20 |