| NPI | 1376907725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 14036676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07005) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-01-22 |