| NPI | 1801661186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3978) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2467) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |