| NPI | 1396985156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS T-SLP 2622) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |