| NPI | 1760037881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31693) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 13682) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-07-07 |