| NPI | 1619296159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC953) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP277) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10238) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 105367) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |