| NPI | 1952608630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP2884) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 104156) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2024-08-09 |