| NPI | 1356881478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12568) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2018-01-03 |