| NPI | 1295745123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 1888) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 100471) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-10-23 |