| NPI | 1376293696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA SLP78371) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ME SP3319) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-10-23 |