| NPI | 1164887022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp. 10325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003740) |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2015-12-19 |