| NPI | 1164878096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 11478) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002832) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |