| NPI | 1366714818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009019319) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2015-03-31 |