| NPI | 1518419209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2612) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |