| NPI | 1114311883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP9719) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 4313) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |