| NPI | 1518189216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5220) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101910) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-01-14 |