| NPI | 1770779746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2509) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-12-06 |