| NPI | 1902286024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7520) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS T-3022) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-01-24 |