| NPI | 1336647726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.12785) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101003428) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-03-17 |