| NPI | 1821642067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4736) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019023495) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-12-14 |