| NPI | 1518226745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06747) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 10359) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-08-06 |