| NPI | 1366712697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011879-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-10247) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2022-07-15 |