| NPI | 1821619636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4298) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020010414) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |