| NPI | 1962891655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005020459) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2722) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |