| NPI | 1285160846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 14096313) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-05 |