| NPI | 1528183936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3353) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006022610) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-06-07 |