NPI | 1083207898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5517) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK CF210) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2021-04-21 |