| NPI | 1275080467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 5157) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2560) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL010086) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 15626) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |