| NPI | 1144226648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14411) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 115070) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 1774) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-03-06 |