| NPI | 1891119657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 8349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 1522) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |