| NPI | 1720531478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 12302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14019) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2017-12-11 |