| NPI | 1881059558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 105596) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1007) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2019-08-21 |