| NPI | 1578693743 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5147) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101659) | 
| Enumeration Date | 2007-03-06 | 
| Last Update Date | 2024-12-16 |