| NPI | 1861570814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 3230) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-5451) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-16 |