| NPI | 1649619966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15070) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-11-01 |