| NPI | 1811304017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013023353) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2014-07-20 |