| NPI | 1275367443 |
|---|---|
| Former Name | MADELINE ELIZABETH NEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134423) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |