| 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 |