| NPI | 1184734295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 3302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 3304) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-02-19 |