| NPI | 1194004598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 10004) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |