| NPI | 1295067585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP 2064) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST 1972) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2013-09-09 |