| NPI | 1760685556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 113867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1300) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-03-18 |