| NPI | 1861905150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4250) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017017732) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-03-17 |