| NPI | 1427590660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 2242) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH OS1009058) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |