| NPI | 1033599857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.4017) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0245) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |