| NPI | 1073877452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1469) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-03-14 |