| NPI | 1376935429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2488) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-01-18 |