| NPI | 1780194449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4189) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017034954) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2023-12-06 |