| NPI | 1457412827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2823) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008012489) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-06-20 |