| NPI | 1033210976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP7624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY2961) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-03-02 |