| NPI | 1023259785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 2352) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 366478) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2022-07-21 |