| NPI | 1356659080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1206) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME 12092107) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |