| NPI | 1962948992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3309) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2136) |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |