| NPI | 1811261100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 4428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3833) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2012-03-04 |