| NPI | 1053517615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5476) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 6236) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2024-02-09 |