| NPI | 1922499722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2003018092) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |