| NPI | 1114208808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11333) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 10086) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2015-07-01 |