| NPI | 1881046043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015789) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 11631) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |