| NPI | 1700308723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2897) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4731) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-10-07 |