| NPI | 1508302795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4155) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3223) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-09-13 |