| NPI | 1336379585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-8272) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY ky-3587) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |