| NPI | 1538818596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP4319) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78351-SP-SL) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2025-04-01 |