| NPI | 1366056921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5295) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14314232) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |