| NPI | 1265823579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9459) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 10015) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-06-17 |