| NPI | 1760909113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5232) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 3073) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2017-08-26 |