| NPI | 1902541683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA GUAQUETA-TYLER Owner/Speech Language Pathologist 207-619-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |