| NPI | 1376927160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10035) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-12-04 |