| NPI | 1225761802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 4953) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 24259) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |