| NPI | 1447743901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 09838) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003056) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |