| NPI | 1467727107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3988) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8828) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2013-11-18 |