| NPI | 1265834873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22283) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2479) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2021-11-16 |