| NPI | 1548453178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3060) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-12-31 |