| NPI | 1346372455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12759) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12888) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-10-05 |