| NPI | 1811372774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 6314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003836) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013530) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-08-12 |