NPI | 1578710836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1088) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2008-08-19 |
Last Update Date | 2024-10-31 |