| NPI | 1285065300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 243356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13247) |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2019-08-29 |