| NPI | 1639404924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 10193) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4574) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-08-27 |