| NPI | 1427786318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5998) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK CF460) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-06-28 |