| NPI | 1285033928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 9289) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1223) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |