| NPI | 1518987569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 206) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 00742) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-02-25 |