| NPI | 1407036205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2463) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007005974) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |