| NPI | 1821580911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2814) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-04-19 |