| NPI | 1760895072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 498) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9691) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-04-26 |