| NPI | 1093124547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 6967) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3498) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |