| NPI | 1619163797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP8885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16855) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2014-01-07 |