| NPI | 1245405083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-7737) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-01-20 |