| NPI | 1013319789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004729) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 8063) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2026-08-21 |