| NPI | 1366008047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018040348) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-04-21 |