| NPI | 1891195533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1564) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3421) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-04-01 |