| NPI | 1134379852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.3756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL001097L) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |