| NPI | 1376668517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2634) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1117) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-05-29 |