| NPI | 1497845507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5155) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25436) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-04-02 |