| NPI | 1780829838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK SP#3457) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003673L) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |