| NPI | 1750471884 |
|---|---|
| Former Name | ANNA BELLE MCGONAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME ST1692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 6885) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-11-04 |