| NPI | 1851575872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2882) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-01-22 |