| NPI | 1275191991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 5730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 13352) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-06-14 |