| NPI | 1104216100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 5172) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AK T86) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2022-03-25 |