| NPI | 1841422888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST1934) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2021-08-26 |