| NPI | 1255604740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 9425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3615) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2014-03-21 |