| NPI | 1629734017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist (Licence: OK 375) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OK 375) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-09-12 |