| NPI | 1033468723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SLP.12979) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002285A) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9287) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2020-02-20 |