| NPI | 1356628606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12128099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9495) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 9413) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |