| NPI | 1205450350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 6324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020017786) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-08-13 |