| NPI | 1881948412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107921) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2013-05-22 |