| NPI | 1306207592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 14344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 7277) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |