| 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 |