| NPI | 1871888065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ST2084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2203) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-13 |