| NPI | 1730363706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5688) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-5902) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |