| NPI | 1073007274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4798) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12138543) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |