| NPI | 1003043456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP8698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 10482802) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |