| NPI | 1841430899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 9214) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60222919) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2011-08-02 |