| NPI | 1811683196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3873) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01657) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-01-18 |