| NPI | 1528428646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3604) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1642) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |