NPI | 1962807008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2136) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2017-11-14 |