| NPI | 1699132118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10785) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4774) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA12775) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22004444A) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |