| NPI | 1063643427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 9616) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2009203-SP) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-02-12 |