| NPI | 1538560099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4426) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3047) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3975) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2017-03-22 |