| NPI | 1003425257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2218) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 5306) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-02-01 |