| NPI | 1225559172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017022640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4130) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-03-17 |