NPI | 1629321682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1510) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2213) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2020-08-27 |