| NPI | 1134746852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007502A) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |