| NPI | 1922356138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012013851) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2013-01-02 |