| NPI | 1720384092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18766) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |