| NPI | 1821278102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11823) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2012-10-02 |