| NPI | 1174945802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07401) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2016-11-03 |