| NPI | 1922338870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010032128) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3293) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2009024747) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2021-09-13 |