| NPI | 1487956496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16452) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 8676) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2018-11-14 |