| NPI | 1053449090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 112035) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2602) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |