| NPI | 1154645463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 10241) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7798) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2014-08-27 |