| NPI | 1639421290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP10262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 12147199) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |