| NPI | 1821127267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 01022615) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS KS 00491) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-08 |