| NPI | 1255530499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 5284) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 16896) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-03-29 |