| NPI | 1043605710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115854) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11974) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-12-08 |