| NPI | 1134735970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 4034) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 30276) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |