| NPI | 1508928425 |
|---|---|
| Former Name | BROOKE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2249) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-01-13 |