| NPI | 1548452709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1515) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-08-24 |