| NPI | 1689158404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 263977) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018033010) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-06-10 |