| NPI | 1669873493 |
|---|---|
| Former Name | SARAH LAVALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12039) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3602) |
| 314000000X Skilled Nursing Facility (Licence: KS 3602) | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-02-12 |