| NPI | 1770520603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 1960) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 113724) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |