| NPI | 1508955576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5075) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7965) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-09-16 |