| NPI | 1508222589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0001881) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OK SP5683) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2022-01-12 |