| NPI | 1265022297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK SP-5556) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK CF-186) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-06-15 |