| NPI | 1659615672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010013269) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10581) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |