| NPI | 1447282538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 102495) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |