| NPI | 1871693895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-7845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0972) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-07-21 |