| NPI | 1285029470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 4357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11447) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |