| NPI | 1841397569 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2138) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 01025271) | 
| Enumeration Date | 2006-09-17 | 
| Last Update Date | 2007-07-08 |