| NPI | 1306061460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4864) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-08-08 |