NPI | 1962078139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5726) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK CF332) |
Enumeration Date | 2021-05-28 |
Last Update Date | 2023-09-01 |