| NPI | 1558505446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP4369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9881) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2026-08-04 |