| NPI | 1457532160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-2536) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2016-11-28 |