| NPI | 1801142765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2194) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-01-03 |