| NPI | 1881113892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK SP5484) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK CF183) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 116689) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2021-07-29 |