| NPI | 1962625293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 452) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1557) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-11-20 |