| NPI | 1649675679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Cond 2015089) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-07-21 |