| NPI | 1326462227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9768) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2021-07-12 |