| NPI | 1154753580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4334) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA J017438) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2022-10-09 |