| NPI | 1497137962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK SP2364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77137) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-06-07 |