| NPI | 1417262262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP28956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9817) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-04-21 |