| NPI | 1326398124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12430) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1473) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8288) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2018-02-14 |