| NPI | 1720634256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018034216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3387) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |