| NPI | 1780034249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 3951) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2015027318) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |