| NPI | 1730328675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1599) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1116) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2014-11-10 |