| NPI | 1265708366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2001025589) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2124) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |