| NPI | 1295066306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4370) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019709) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2019-07-31 |