| NPI | 1285656702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 8513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3358) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-07-14 |