| NPI | 1366975716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.2598) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013342) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |