| NPI | 1184903353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 8858) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010810) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 06627) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2018-03-17 |