| NPI | 1639624653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 12071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006324A) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |