| NPI | 1811586969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 201106) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-11-05 |