| NPI | 1528216884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 12146693) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2875) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6003) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2014-08-14 |