| NPI | 1821281270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-4875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1150) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-07-13 |