| NPI | 1770796922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2584) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-07-23 |