| 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 |