| NPI | 1801166640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4354) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009007401) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 2962) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-01-21 |