| NPI | 1013314863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4272) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12153145) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |