| NPI | 1740499086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2790) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OK 52) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-05-29 |