| NPI | 1881925709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME sp1348) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |