| NPI | 1942403738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018013326) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2449) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-03-22 |