| NPI | 1881858488 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: OK 4102)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: KS 3076)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: CA 18672)  | |
| Enumeration Date | 2008-07-12 | 
| Last Update Date | 2016-08-16 |