| NPI | 1417993858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004011406) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |