| NPI | 1487082194 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH sp10891) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5457) | 
| Enumeration Date | 2013-10-16 | 
| Last Update Date | 2015-04-06 |