| NPI | 1669960464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7723) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4957) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-05-08 |