| NPI | 1801182076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9744) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12111637) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2014-09-23 |