| NPI | 1255576096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006026271) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |