| NPI | 1891985750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2003031069) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-02-19 |