| NPI | 1205228574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2256) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2002010574) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |