| NPI | 1760894109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 284951) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2014241-SP) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2023-05-11 |