| NPI | 1366774028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP9750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Cond.2010076-SP) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2018-03-17 |