| NPI | 1609177203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.10732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL007396) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2013-04-25 |