| NPI | 1629471354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 5081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 4752) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-08-05 |