| NPI | 1548661952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134705) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-01-31 |