| NPI | 1205306776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3881) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015034761) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |