| NPI | 1275919110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004019694) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |