| NPI | 1720329477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 11099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH OH 3133792) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2016-11-01 |