NPI | 1194996678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 12042106 ASHA) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2921) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-08-13 |