| NPI | 1568830289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12200) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-05-04 |