| NPI | 1093354409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016022846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4091) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |