| NPI | 1073858890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9453) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2021-04-08 |