| NPI | 1407389653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 14076943) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4045) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |