| NPI | 1477825255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 10220) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2019-04-19 |