| NPI | 1851747729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 10215) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-04-02 |