| NPI | 1518090505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2386) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12072079) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-10-07 |