| NPI | 1548691900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5374) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2015-12-30 |