| NPI | 1477321388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 6587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 4571) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-10-07 |