| NPI | 1396846549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 9804) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2999-154) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-02-09 |