| NPI | 1417561317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP3493) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME ST3230) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-01-06 |