| NPI | 1558841981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2940) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2829) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-02-15 |