| NPI | 1568158806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE NOELLE HARITOS Speech Language Pathologist, Owner 207-540-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |