| NPI | 1346736766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 006527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2815) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-07-09 |