| NPI | 1740859198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3678) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST3495) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-10-17 |