| NPI | 1669884813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 6642) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH BG1019507) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2017-08-14 |