| NPI | 1720723570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021005569) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |