| NPI | 1124421516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014021760) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4075) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2018-03-21 |