| NPI | 1649153651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2909) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004256) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |