| NPI | 1497388250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 4320) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OK 14062347) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-04-30 |