| NPI | 1730474107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010410) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12360) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2016-12-05 |