| NPI | 1114174158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005019641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2724) |
| 235Z00000X Speech-Language Pathologist, (Licence: 12076255) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |