| NPI | 1932653789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 996) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016009648) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3903) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |