| NPI | 1356691133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11651) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5994) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2016-12-15 |