| NPI | 1700959616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP2054) |
| 235Z00000X Speech-Language Pathologist (Licence: PA SL000073L) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |