NPI | 1972097590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 5413) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 200043) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-02-07 |