| NPI | 1417453689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 141293) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-10670) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-16 |