| NPI | 1467199125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5965) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK CF418) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2024-02-13 |