| NPI | 1619111598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST 1855) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6964) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-01-04 |