| NPI | 1043520539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA16606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP10410) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SZ5242) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-12-16 |