| NPI | 1821483769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 12106758) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3510) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |