| NPI | 1013556661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019047146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4300) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |