| NPI | 1013121326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 13444) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP0127) |
| 235Z00000X Speech-Language Pathologist, (Licence: 00469205) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |