| NPI | 1124136544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 186) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 100112) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2009-06-11 |