| NPI | 1730354721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8551) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-02-12 |