| NPI | 1104036466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP4401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016113) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014964) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-08-12 |