| NPI | 1871982322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 3857) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 6211) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2022-03-22 |