| NPI | 1215334479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10968) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |