| NPI | 1265658165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP08919) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4105) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-01-31 |