| NPI | 1952791584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4163) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 39116) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2026-06-19 |