| NPI | 1558463133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 139122) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP4218) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-12-08 |