| NPI | 1407049935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP1297) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |