| NPI | 1043462500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4398) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH 2796) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |